Insure Oklahoma

Purpose

Insure Oklahoma is a health premium assistance program Oklahoma has created to bridge the gap in health coverage for low-income working adults. Under the Employer-Sponsored Insurance (ESI) option, commercial health insurance premium costs are shared by the state (60%), the employer (25%), and the employee (15%).

Contact(s)

Insure Oklahoma
PO Box 54200
Oklahoma City, OK 73154

(888) 365-3742
Fax:  (405) 949-9563

Insure Oklahoma

Eligibility

To qualify for Insure Oklahoma, an Oklahoman must be between the ages of 19-64, meet annual gross household income limits, not be enrolled in Medicare or Medicaid, and one of the following criteria:

  • works for an Oklahoma business with 250 or fewer employees but does not qualify for Insure Oklahoma Employer-Sponsored Insurance
  • is self-employed
  • has a disability and a Ticket to Work

To qualify for premium assistance under the Employer-Sponsored Insurance option, an employer must meet the following criteria:

  • have an operating location in Oklahoma (have a Federal Employer Identification Number (FEIN) issued from the Oklahoma Employment Securities Commission)
  • have no more than 250 employees; and
  • must be enrolled, or in the process of enrolling in a qualified health plan.

Employees receiving health premium assistance through ESI must meet annual gross household income limits to qualify.

AT Services Provided/Covered

  • Varies by carrier

AT Devices Provided/Covered

  • Varies by carrier

How to Get the AT

  • Applications are available by contacting Insure Oklahoma or can be found on the Insure Oklahoma website.

Pieces of the Puzzle

  • Oklahoma small business owners of 250 or fewer employees that offer a qualified health plan to their employees and contribute at least 25% of premiums for qualified employees may apply for Insure Oklahoma premium subsidies for qualifying employees.
  • A qualifying employee must be between the ages of 19 to 64, have a gross annual household income below the financial guidelines and contribute up to 15% of premium cost for self or eligible spouse.
  • Insure Oklahoma pays 60% or more of the employee’s premium cost and 85% or more of the premium cost for the employee’s spouse.